CVA-Cerebral Vascular Accident: Difference between revisions
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Ttenbergen (talk | contribs) various questions... |
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| Yes see: [[:Category: Comorbid Diagnosis | Comorbid Diagnosis]] | 1 | CC & Med | Currently Collected | | }} | | Yes see: [[:Category: Comorbid Diagnosis | Comorbid Diagnosis]] | 1 | CC & Med | Currently Collected | | }} | ||
Don't forget to code[[Thrombolytic Infusion (STROKE)]] if TPA administerd. | Don't forget to code [[Thrombolytic Infusion (STROKE)]] if TPA administerd. | ||
*also see Other [[Cerebral Infarct Cause NYD]] | *also see Other [[Cerebral Infarct Cause NYD]] | ||
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* We do not code paralysis or [[Paraplegia, Hemiplegia]] with the CVA. | * We do not code paralysis or [[Paraplegia, Hemiplegia]] with the CVA. | ||
** {{discussion}} Is [[Diaphragmatic Paralysis]] the Dx you are telling not to code? If not, which dx is it? This instruction should be at that article as well, since that might be where someone looks first to find out whether to code it. [[User:Ttenbergen|Ttenbergen]] 09:44, 2012 September 13 (CDT) | ** {{discussion}} Is [[Diaphragmatic Paralysis]] the Dx you are telling not to code? If not, which dx is it? This instruction should be at that article as well, since that might be where someone looks first to find out whether to code it. [[User:Ttenbergen|Ttenbergen]] 09:44, 2012 September 13 (CDT)Ttenbergen | ||
* '''if admitted with a acute stroke, the DX stays as part of the admitting DX until patient is discharged from the hospital system in the Region. It will be coded as a comorbid on the next new admission to a hospital system in the Region. This is in following the same rule as for when does an ARF become CRF. --[[User:TOstryzniuk|TOstryzniuk]] 19:48, 2 December 2010 (CST)''' | * '''if admitted with a acute stroke, the DX stays as part of the admitting DX until patient is discharged from the hospital system in the Region. It will be coded as a comorbid on the next new admission to a hospital system in the Region. This is in following the same rule as for when does an ARF become CRF. --[[User:TOstryzniuk|TOstryzniuk]] 19:48, 2 December 2010 (CST)''' | ||
** does that rule only apply to these two dxs, or to all? Ttenbergen 11:04, 2013 January 21 (EST) {{discussion}} | |||
== Incidental findings of '''OLD ''' lacunar infarcts == | == Incidental findings of '''OLD ''' lacunar infarcts == | ||
*Dan Roberts:Incidental findings of “'''old lacunar infarct'''” on CT will '''continue to be included''' as '''COMORBID diagnosis'''. Staff have been including them as comorbids, if we stop including then this will affect the [[overstay]] project that is currently being piloted at the Grace and will eventually be done at other sites in the Region. -[[User:TOstryzniuk|Trish Ostryzniuk]] 10:52, 2012 September 14 (CDT) | *Dan Roberts:Incidental findings of “'''old lacunar infarct'''” on CT will '''continue to be included''' as '''COMORBID diagnosis'''. Staff have been including them as comorbids, if we stop including then this will affect the [[overstay]] project that is currently being piloted at the Grace and will eventually be done at other sites in the Region. -[[User:TOstryzniuk|Trish Ostryzniuk]] 10:52, 2012 September 14 (CDT) | ||
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== eliminate code? == | == eliminate code? == | ||
* ''50508 - CVA-Brainstem'' is really the same as code 504. This was an unintended double code that crept into list ages ago.[[User:TOstryzniuk|Trish Ostryzniuk]] 16:05, 2012 July 12 (CDT) | * ''50508 - CVA-Brainstem'' is really the same as code 504. This was an unintended double code that crept into list ages ago.[[User:TOstryzniuk|Trish Ostryzniuk]] 16:05, 2012 July 12 (CDT) | ||
** {{discussion}} should we delete one of them from the drop-down? if so, please add to [[Requested CCMDB changes for the next version]][[User:Ttenbergen|Ttenbergen]] 09:37, 2012 September 13 (CDT) | ** {{discussion}} should we delete one of them from the drop-down? if so, please add to [[Requested CCMDB changes for the next version]][[User:Ttenbergen|Ttenbergen]] 09:37, 2012 September 13 (CDT)Ttenbergen | ||
===Sept 14.12 Survey=== | ===Sept 14.12 Survey=== | ||
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**Comorbid DX unless DX as acute, then in admit | **Comorbid DX unless DX as acute, then in admit | ||
* What is the outcome of this survey, i.e where should things be coded? Ttenbergen 11:04, 2013 January 21 (EST) {{discussion}} | |||
[[Category: Stroke]] | [[Category: Stroke]] | ||
Revision as of 11:04, 21 January 2013
Legacy Content
This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Cerebral infarction/stroke, NOS, Cerebral infarction/stroke due to embolism, Hemorrhage, intracerebral/intracranial, nontraumatic (ICH, hemorrhagic stroke), Stroke, NOS, Subdural or epidural hematoma/hemorrhage, nontraumatic, Hemorrhage, subarachnoid or ruptured cerebral aneurysmClick Expand to show legacy content.
Don't forget to code Thrombolytic Infusion (STROKE) if TPA administerd.
- also see Other Cerebral Infarct Cause NYD
This can be due to ischemia caused by blockage (thrombosis, arterial embolism), or a hemorrhage. Diagnostic imaging can identify the cause.
- We do not code paralysis or Paraplegia, Hemiplegia with the CVA.
- Template:Discussion Is Diaphragmatic Paralysis the Dx you are telling not to code? If not, which dx is it? This instruction should be at that article as well, since that might be where someone looks first to find out whether to code it. Ttenbergen 09:44, 2012 September 13 (CDT)Ttenbergen
- if admitted with a acute stroke, the DX stays as part of the admitting DX until patient is discharged from the hospital system in the Region. It will be coded as a comorbid on the next new admission to a hospital system in the Region. This is in following the same rule as for when does an ARF become CRF. --TOstryzniuk 19:48, 2 December 2010 (CST)
- does that rule only apply to these two dxs, or to all? Ttenbergen 11:04, 2013 January 21 (EST) Template:Discussion
Incidental findings of OLD lacunar infarcts
- Dan Roberts:Incidental findings of “old lacunar infarct” on CT will continue to be included as COMORBID diagnosis. Staff have been including them as comorbids, if we stop including then this will affect the overstay project that is currently being piloted at the Grace and will eventually be done at other sites in the Region. -Trish Ostryzniuk 10:52, 2012 September 14 (CDT)
eliminate code?
- 50508 - CVA-Brainstem is really the same as code 504. This was an unintended double code that crept into list ages ago.Trish Ostryzniuk 16:05, 2012 July 12 (CDT)
- Template:Discussion should we delete one of them from the drop-down? if so, please add to Requested CCMDB changes for the next versionTtenbergen 09:37, 2012 September 13 (CDT)Ttenbergen
Sept 14.12 Survey
QUESTION: OLD lacunar infarcts Where do you code incidental find of from CT: OLD lacunar infarct
- VIC ICU & Med – 2/2 staff replied
- Comorbid DX
- CON ICU – 1/1 staff replied
- Comorbid DX
- STB ICU & Med – 2 staff out of 5 replied - 3 awaiting reply
- Comorbid DX
- waiting for reply from: Debbie, Laura (vacation), Marla.-Trish Ostryzniuk (talk) 18:29, 2012 September 17 (CDT)
- Comorbid DX
- HSC ICU & Med – 3 of 6 staff replied – 3 awaiting reply
- Comorbid DX – only in admit if it is a new CVA
- waiting for reply from: Joyce,Fran, Pat.-Trish Ostryzniuk (talk) 18:29, 2012 September 17 (CDT)
- OAK ICU – 1/1 staff replied
- Comorbid DX
- GRA ICU & Med – 3/3 staff replied
- Comorbid DX unless DX as acute, then in admit
- What is the outcome of this survey, i.e where should things be coded? Ttenbergen 11:04, 2013 January 21 (EST) Template:Discussion